Which statement, if made by the client or family member, would indicate the need for further teaching? 1. If a skin area gets red but then the red goes away after turning, I should report it to the nurse. 2. Putting foam pads under the heels or other bony areas can help decrease pressure. 3. If a person cannot turn himself in bed, someone should help them change position q4h. 4. The skin should be washed with only warm water (not hot) and lotion put on while it is still a little wet.

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Which statement, if made by the client or family member, would indicate the need for further teaching?

1. If a skin area gets red but then the red goes away after turning, I should report it to the nurse.
2. Putting foam pads under the heels or other bony areas can help decrease pressure.
3. If a person cannot turn himself in bed, someone should help them change position q4h.
4. The skin should be washed with only warm water (not hot) and lotion put on while it is still a little wet.

 
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The nurse is assessing an African American patient and notes a streak of pigmentation in the patient’s fingernails. The nurse determines that this finding indicates which of the following? a) Chronic anemia b) Normal variation c) Smoker’s fingernails d) Melanoma

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The nurse is assessing an African American patient and notes a streak of pigmentation in the patient’s fingernails. The nurse determines that this finding indicates which of the following?

a) Chronic anemia
b) Normal variation
c) Smoker’s fingernails
d) Melanoma

 
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During a preadmission assessment, for what diagnosis would the nurse to expect to find decreased tactile fremitus and hyperresonant percussion sounds? Bronchitis Emphysema Atelectasis Pulmonary edema

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During a preadmission assessment, for what diagnosis would the nurse to expect to find decreased tactile fremitus and hyperresonant percussion sounds?

  1. Bronchitis
  2. Emphysema
  3. Atelectasis
  4. Pulmonary edema
 
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The nurse is attempting to ambulate a patient who underwent shoulder surgery earlier in the day. The patient is refusing to ambulate. What action by the nurse is most appropriate? a) Use multiple staff members to remove the patient from the bed. b) Delegate the task to the unlicensed assistive personnel. c) Reinforce the importance of early mobility in preventing complications. d) Document the patient’s refusal.

/in /by

The nurse is attempting to ambulate a patient who underwent shoulder surgery earlier in the day. The patient is refusing to ambulate. What action by the nurse is most appropriate?

a) Use multiple staff members to remove the patient from the bed.
b) Delegate the task to the unlicensed assistive personnel.
c) Reinforce the importance of early mobility in preventing complications.
d) Document the patient’s refusal.

 
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